The Efficacy of Aspirin Combined With Hydroxychloroquine Treatment in High Risk Pregnancies for Preeclampsia

NCT ID: NCT05287321

Last Updated: 2024-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-31

Study Completion Date

2026-12-31

Brief Summary

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This study is prospective, single arm group ,open label, and multicenter trial (with two parallel-group \[Hydroxychloroquine 200mg with Aspirin 100mg or Aspirin 100mg\])

Detailed Description

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This study is prospective, open label, and multicenter trial \[Hydroxychloroquine 200mg with Aspirin 100mg\]

The study population consists of the singleton pregnancy at high risk for preeclampsia who had adverse pregnancy outcome (preeclampsia or fetal growth restriction or intrauterine fetal death) in previous pregnancy.

After randomisation, participants are assigned to receive hydroxychloroquine 200mg with aspirin 100mg per day or aspirin 100mg per day. Treatment is initiated between 12 and 22 weeks' gestation and stopped at 36 weeks' gestation.

The medication adherence to dosing should be maintained at more than 80%.

Conditions

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Preeclampsia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Aspirin 100mg + Hydroxychloroquine 200mg

Aspirin 100mg 1T daily PO + Hydroxychloroquine 200mg 1T daily PO

Group Type EXPERIMENTAL

Hydroxychloroquine

Intervention Type DRUG

Hydroxychloroquine 200mg with Aspirin 100mg

Interventions

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Hydroxychloroquine

Hydroxychloroquine 200mg with Aspirin 100mg

Intervention Type DRUG

Other Intervention Names

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Plaquenil

Eligibility Criteria

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Inclusion Criteria

1. The singleton pregnant women aged from 19 to 50 years
2. Includes at least one factors of the below

① History of preeclampsia

② History of fetal growth restriction

③ History of intrauterine fetal death
3. Women who have agreed to enroll in the study and given their informed consent

Exclusion Criteria

1. Indication to a treatment according to the severe cardiovascular, immune, respiratory, gastrointestinal/liver and biliary system, kidney and urinary system, nervous system, musculoskeletal system, psychiatric, infectious disease and malignancy (However, the participation of the trial is allowed by the investigator based on medically necessary.)
2. Previous inclusion in other intervention study within 3 months of screening (except for non-interventional observational studies)
3. Major malformation of the fetus is diagnosed at 11-13 weeks of gestation
4. Elevated blood concentrations of creatinine more than double the normal value
5. Elevated blood concentrations of liver transaminases (AST(GOT) or ALT(GPT)) more than three times the normal value
6. Conditions related with aspirin treatment

* Previous exposure within 28 days of screening
* Previous NSAID exposure within 28 days of screening
* Bleeding disorder (von Willebrand's disease, peptic ulceration)
* Hypersensitivity to aspirin
7. Conditions related with hydroxychloroquine treatment

* Previous exposure within 28 days of screening
* Hypersensitivity to hydroxychloroquine and 4-aminoquinoline compounds
* Maculopathy
* Medications that has potential for visual disturbance
* Women who have potential for changes in the retina or visual impairment by 4-aminoquinoline compounds
* Galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
* Prolonged QT interval on EKG (congenital or acquired) or The risk factors of QT prolongation (heart failure, arrhythmia, myocardial ischemia)
* Low level of potassium in the blood
* Low level of magnesium in the blood
8. Not suitable for participant based on medical evidence by investigator
Minimum Eligible Age

19 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health & Welfare, Korea

OTHER_GOV

Sponsor Role collaborator

Yoo-min Kim

OTHER

Sponsor Role lead

Responsible Party

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Yoo-min Kim

Assistant professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Yoo-min Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Chung-Ang University Gwangmyeong Hospital

Locations

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Chung-Ang University Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Yoo-min Kim, MD

Role: CONTACT

Phone: +82-2-6299-1661

Email: [email protected]

Facility Contacts

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Yoo-min Kim, MD

Role: primary

References

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Kim YM, Seong J, Kim JH, Nam G, Kim GJ, Cha HH, Seong WJ, Sung JH, Choi SJ, Oh SY, Roh CR. Efficacy of combining aspirin with hydroxychloroquine in pregnancies at high risk for pre-eclampsia: a prospective, multicentre, open-label, single-arm clinical trial, investigator-initiated study (HUGS study). BMJ Open. 2024 Dec 10;14(12):e081610. doi: 10.1136/bmjopen-2023-081610.

Reference Type DERIVED
PMID: 39658277 (View on PubMed)

Other Identifiers

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2112-014-487

Identifier Type: -

Identifier Source: org_study_id